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CAMPBELL PEDORTHICS LLC NPI 1740436179


NPI Information

NPI: 1740436179
Provider Name: CAMPBELL PEDORTHICS, LLC

Doing Business As: CAMPBELL'S PEDORTHICS & SHOES

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1520 HUGUENOT RD
SUITE 114
MIDLOTHIAN, VA
ZIP 23113
Phone: (804) 794-0070
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CAMPBELL PEDORTHICS, LLC is a specialist in Midlothian, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CAMPBELL PEDORTHICS, LLC NPI is 1740436179. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Campbell's Pedorthics & Shoes.

The provider's business location address is:

1520 HUGUENOT RD
SUITE 114
MIDLOTHIAN, VA
ZIP 23113-477
Phone: (804) 794-0070
Fax: (804) 794-0072

The provider's authorized official is Scott James Campbell .
The authorized official title is Owner and has the following contact phone number (804) 794-0070.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 8/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistCPED0774DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16086510001MEDICARE NSCVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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